| Oral Surgery Of Central Arkansas | |
|
4701 Fairway Ave Ste D North Little Rock AR 72116-8069 | |
| (501) 791-7600 | |
| (501) 791-2824 |
| Full Name | Oral Surgery Of Central Arkansas |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4701 Fairway Ave Ste D, North Little Rock, Arkansas |
| Authorized Official Name and Position | Jennifer Patterson (OFFICE MANAGER) |
| Authorized Official Contact | 0132752555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Of Central Arkansas 4701 Fairway Ave Ste D North Little Rock AR 72116-8069 Ph: (501) 327-5255 | Oral Surgery Of Central Arkansas 4701 Fairway Ave Ste D North Little Rock AR 72116-8069 Ph: (501) 791-7600 |
| NPI Number | 1245829027 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 01/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245829027 | NPI | - | NPPES |
| 200352679 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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